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Summa Statement of Contributions and Expenditures <br />PIc~c ~e or p~t lc~bly ~ black i~. . Page 2 of 2 <br />C~didate or Political Co~ N~'. '~ ~ ~ ~~ } Co~i~ee ID N~ber: <br />~ ~en~em ~t P~-elecfion ~ 2nd Pre-election ~ Post-elation ~ 20_ S~tember Supplym~tal <br /> LOiN <br />2]. Be~ Outs~d~ag ~oa= -- FOR OFFICE USE ONLY <br />(tm= 29 of~ous <br />22, ~oa~s Received ~o~-Ex~pt) <br /> <br />23.Loans ReceiVed '(Exempt) <br /> (line 14) <br />24. LOANS ~C~IVED SUBTOT~ <br /> (lines 21 + 22 + 23) <br />25. Lo~ Ps,ems ~on-ExemP0' <br />(lin~ 7) <br />2g. Lo~ Pa~en~ (Exemp0 <br />O~e 18) <br />27. Forgiv~ Loans <br />(To~I loans forgiven d~g this acco~ng ~od) + <br />21. LOAN PAYMENT SUBTOTAL <br />(lines 2~ + 26 ~27) <br />29, TOT~ OUTSTANDING LO~S <br />(line 24 ~tn~ hne 28) <br /> PERSONAL EXPENDITURE SUMMARY <br />30, Begi~ing Ou~t~ding Perso~l Expend~res <br /> (l~ 36 ofpr~io~ repog) <br />31. Personal Expendi~s <br /> (Accoun~8 Period To~l from PC 3A) <br />32. PERSONAL EXPEND~ <br /> (lines 30 + 31) <br />33. Personal Expendi~e Reimbursements <br /> (Total expenditures on PC 3 with pu~s= code R) <br />34 Forglvm P~onfl Expmdi~es <br /> (To~l personal expendim~ forgiven th[~ ~=g~g. ~riod) <br /> <br /> (li~ 33 + 34) = <br />36 O~ST~DING PE~ON~ <br /> EXPENDIT~S <br /> FINANCIAL STATUS AT CLOSE OF A~COUNTING PERIOD <br /> 37. Ending C=h <br /> <br /> 38. Accounts Reeelvable <br /> (Accosting Penod Total from PC 5) + <br /> 39, ~UBTOTAL <br /> (hn~ 37 + 38) <br /> 40. Total Outstanding Loans ~ , <br /> RECEIVED <br />41. ~tstan~JnB Pesso~al <br /> <br /> 42, Accounts Payable <br /> (Acco~tin~PeriodTot~ffomPC6) + ~ ~P~ 1 2 <br /> <br /> - CITY RECORDE <br />~. BALANCE~EFiC~ <br /> (line 39 minus line 43: ~dieate + or-~lanoc) = ~ <br /> <br /> Si~a~e~~~__ or treasurer Date signed <br /> <br /> <br />